Individual
MISS MORGAN P BOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 450, CANTON, GA 30115-8020
(770) 721-3200
(770) 721-1890
Mailing address
1100 JOHNSON FERRY RD, STE 510, SANDY SPRINGS, GA 30342-1743
(770) 507-0029
(678) 581-7170
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500839855A
—
GA
05
—
500839855B
—
GA
05
—
500839855C
—
GA
Enumeration date
02/08/2007
Last updated
06/10/2019
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